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The Murcia Twin Registry (MTR) is the only population-based registry in Spain. Created in 2006, the registry has been growing more than a decade to become one of the references for twin research in the Mediterranean region. The MTR database currently comprises 3545 adult participants born between 1940 and 1977. It also holds a recently launched satellite registry of university students (N = 204). Along five waves of data collection, the registry has gathered questionnaire and anthropometric data, as well as biological samples. The MTR keeps its main research focus on health and health-related behaviors from a public health perspective. This includes lifestyle, health promotion, quality of life or environmental conditions. Future short-term development points to the expansion of the biobank and the continuation of the collection of longitudinal data.
Fibropapillomatosis (FP) can be an important conservation threat to green sea turtles (Chelonia mydas) due to its widespread distribution and complex aetiology. Thus, understanding the impacts of FP in sea turtle populations is a research priority towards conservation efforts. The body condition index (BCI), based on straight carapace length (SCL) and body mass (BM), is an accurate indicator of body-nutritional condition that can be used in routine green turtle health evaluations. This study aimed to compare BCI in FP-free (N = 369) and FP-affected (N = 518) green turtles from Brazilian feeding areas. Body condition indices were evaluated in terms of the South-west Atlantic Fibropapillomatosis Score – FPSSWA (mild, moderate and severe), study sites (five Brazilian states), origin (intentional capture, fishery, stranding and afloat) and sex (when known). Curved and straight carapace lengths, and body mass were recorded in order to calculate BCI. Statistical analysis revealed significant differences in BCI among green turtles from different study areas (P = 0.02), and lower BCI values in FP-free than in FP-positive individuals (P < 0.0001). With regards to origin, the highest BCI was found in the intentional capture group (N = 245; 1.47 ± 0.16), followed by fishery (N = 180; 1.46 ± 0.20). Analysis according to sex revealed a higher mean BCI among females than males (P < 0.017). This study provides relevant data on the health and nutritional status of green turtles along the Brazilian coast, in important feeding areas for this species.
Hurricane Maria caused catastrophic damage in Puerto Rico, increasing the risk for morbidity and mortality in the post-impact period. We aimed to establish a syndromic surveillance system to describe the number and type of visits at 2 emergency health-care settings in the same hospital system in Ponce, Puerto Rico.
We implemented a hurricane surveillance system by interviewing patients with a short questionnaire about the reason for visit at a hospital emergency department and associated urgent care clinic in the 6 mo after Hurricane Maria. We then evaluated the system by comparing findings with data from the electronic medical record (EMR) system for the same time period.
The hurricane surveillance system captured information from 5116 participants across the 2 sites, representing 17% of all visits captured in the EMR for the same period. Most visits were associated with acute illness/symptoms (79%), followed by injury (11%). The hurricane surveillance and EMR data were similar, proportionally, by sex, age, and visit category.
The hurricane surveillance system provided timely and representative data about the number and type of visits at 2 sites. This system, or an adapted version using available electronic data, should be considered in future disaster settings.
The aim of this study was to describe individuals seeking care for injury at a major emergency department (ED) in southern Puerto Rico in the months after Hurricane Maria on September 20, 2017.
After informed consent, we used a modified version of the Natural Disaster Morbidity Surveillance Form to determine why patients were visiting the ED during October 16, 2017–March 28, 2018. We analyzed visits where injury was reported as the primary reason for visit and whether it was hurricane-related.
Among 5 116 patients, 573 (11%) reported injury as the primary reason for a visit. Of these, 10% were hurricane-related visits. The most common types of injuries were abrasions, lacerations, and cuts (43% of all injury visits and 50% of hurricane-related visits). The most common mechanisms of injury were falls, slips, trips (268, 47%), and being hit by/or against an object (88, 15%). Most injury visits occurred during the first 3 months after the hurricane.
Surveillance after Hurricane Maria identified injury as the reason for a visit for about 1 in 10 patients visiting the ED, providing evidence on the patterns of injuries in the months following a hurricane. Public health and emergency providers can use this information to anticipate health care needs after a disaster.
We determined ice velocities for the Academy of Sciences Ice Cap, Severnaya Zemlya, Russian Arctic, during November 2016–November 2017, by feature-tracking 54 pairs of Sentinel-1 synthetic-aperture radar images. Seasonal velocity variations with amplitudes up to 10% of the yearly-averaged velocity were observed. Shorter-term (<15 d) intra-annual velocity variations had average and maximum deviations from the annual mean of up to 16 and 32%, respectively. This indicates the errors that could be incurred if ice discharge values determined from a single pair of images were extrapolated to the whole year. Average ice discharge for 2016–2017 was 1.93 ± 0.12 Gt a−1. The difference from an estimate of ~ 1.4 Gt a−1 for 2003–2009 was attributed to the initiation of ice stream flow in Basin BC. The total geodetic mass balance over 2012–2016 was − 1.72 ± 0.67 Gt a−1 (− 0.31 ± 0.12 m w.e. a−1). The climatic mass balance was not significantly different from zero, at 0.21 ± 0.68 Gt a−1 (0.04 ± 0.12 m w.e. a−1), and has remained near zero at decadal-scale for the last four decades. Therefore, the total mass balance has been controlled largely by variations in ice discharge, whose long-term changes do not appear to have responded to environmental changes but to the intrinsic characteristics of the ice cap governing tidewater glacier dynamics.
The influencing work by María Luisa Zubizarreta on the syntax–prosody–information structure connection has enlightened the study of the language faculty (Zubizarreta, 1994, 1998, 1999). Her observations have led to much debate not only on general abstract properties of language but also on several empirical domains. Of particular relevance to the understanding of the relationship between syntax, sentence-level stress, and informational structure is her contribution to the debate on the mechanisms that generate VOS word order in Spanish. Zubizarreta’s (1998) pioneering work proposes a formal analysis of the connection between VOS word order, stress assignment, and focus interpretation.
According to Zubizarreta (1998), to obtain a narrow focus interpretation on the subject, Romance languages generate VOS configurations. In her proposal, Spanish VOS order is the result of a short VP-movement operation involving the verb and its complement that leaves the subject in sentence-final position.
In this paper, we define a Cayley–Dickson process for k-coalgebras proving some results that describe the properties of the final coalgebra, knowing the properties of the initial one. Namely, after applying the Cayley–Dickson process for k-coalgebras to a coassociative coalgebra, we obtain a coalternative one. Moreover, the first coalgebra is cocommutative if and only if the final coalgebra is coassociative. Finally we extend these results to a more general approach of D-coalgebras, where D is a k-coalgebra, presenting a class of examples of coalternative (non-coassociative) coalgebras obtained from group D-coalgebras.
Vaccination coverage (VC) against pertussis can increase when management practices and policies at primary care centres (PCCs) are reinforced. From 2011 to 2015, we performed a case–control study to evaluate VC among pertussis patients treated at PCCs in Barcelona, Spain. We recorded pertussis in patients from 8- to 16-year-olds at 52 PCCs. Pertussis cases had laboratory diagnostic and controls were healthy outpatients visiting the same facility for reasons other than cough. DTaP/dTap VC was recorded as either proper vaccination status (five doses recorded) or improper vaccination status (<5 doses recorded). We used a logistic regression model to estimate OR and 95% CI. We included 229 cases and 576 controls. VC was higher in cases (mean 5.01, s.e.: 0.57) than in controls (4.89, s.e.: 0.73). Around 69% of the cases had received DTaP primary immunisation after 2–5 years and 31.4% of cases had the dTap booster immunisation after 7–10 years. The 87% of children 5–9 years were properly vaccinated. We found no protection from becoming ill among properly vaccinated children (OR 1.87; 95% CI 1.22–2.85). The highest VC was observed in patients with confirmed pertussis, which was likely due to a more exhaustive follow-up of the VC in these patients. Being properly vaccinated against pertussis will probably not increase VC.
Meteorological and even human-made disasters are increasing every year in frequency and magnitude. The passage of a disaster affects a society without distinction, but groups with social vulnerability (low socioeconomic status, chronic medical, or psychological conditions, limited access to resources) face the most significant impact. As a result, psychological and behavioral symptoms (eg, depression and anxiety) can ensue, making the immediate response of mental health services crucial. Secondary data from a database of a temporary healthcare unit were analyzed. A total of 54 records were reviewed to collect information; univariate and bivariate analyses were done. The purpose of this article is to present our experience regarding the incorporation of a mental health services model, with its respective benefits and challenges, into a temporary healthcare unit, after Hurricane Maria in 2017.
Breastfeeding is the ideal nutrition for a newborn’s integral necessities. It seems crucial therefore to know its composition in order to provide suitable infant formula when required. Of these, polyamines (with lactation and the microbiota being its intestinal source) are involved in the development of gut epithelium and immunity. Safety concerns limit human intervention studies. Therefore, we have studied whether the different amounts of polyamines supplied by breast milk (varying among mothers) or infant formulas feeding, up to day 30 postpartum, determine the polyamine content in newborn faeces. Independent samples (68) of breast milk from 59 healthy Caucasian woman (day 0, 1, 3, 5, 7, 15 and 30 postpartum) who had natural deliveries after week 38, same day newborn faeces, when available (81 from breast milk and 55 from infant formula fed) and 6 infant formulas were determined by HPLC. In breast milk, polyamines and isoamylamine (a primary amine), with interindividual variations, increased over time with a higher content of spermidine (no other amines were present). Overall, they were much higher than in infant formula. By the 2nd week after birth the content of polyamines, cadaverine and tyramine, but not isoamylamine, in the faeces of infant formula were higher than in breast milk fed. Cadaverine and tyramine could be used to predict the type of newborns feeding used. The differences in the content may be related to distinct colonisation of amines-producer bacteria, to which polyamines could help establish. Further studies are required to determine the clinical utility of these findings.
In this paper, a robust geometric navigation algorithm, designed on the special Euclidean group SE(3), of a quadrotor is proposed. The equations of motion for the quadrotor are obtained using the Newton–Euler formulation. The geometric navigation considers a guidance frame which is designed to perform autonomous flights with a convergence to the contour of the task with small normal velocity. For this purpose, a super twisting algorithm controls the nonlinear rotational and translational dynamics as a cascade structure in order to establish the fast and yet smooth tracking with the typical robustness of sliding modes. In this sense, the controller provides robustness against parameter uncertainty, disturbances, convergence to the sliding manifold in finite time, and asymptotic convergence of the trajectory tracking. The algorithm validation is presented through experimental results showing the feasibility of the proposed approach and illustrating that the tracking errors converge asymptotically to the origin.